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Presentation for MCHCOM.COMNovember 13, 2003

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• Health Resources and Services Administration
• Maternal and Child Health Bureau

3
Maternal, Infant, and Child Health in Healthy
People 2010 Data from the October 2003 Progress
Review

• Richard J Klein, MPH
• Edward J Sondik, Ph. D.

4
Healthy People 2010 Focus Area 16
Maternal Mortality and Morbidity Objectives
Maternal complications during labor and
delivery Maternal deaths Cesarean
births Ectopic pregnancies
Developmental objective
5
Maternal Complications During Labor and Delivery
by Race 1998 - 2001
Per 100 deliveries
Black
Total
White
Obj. 16-5a
Source NHDS, NCHS, CDC.
Note Data by race may be under reported.
6
Maternal Complications During Labor and Delivery
A condition that adversely affects a womans
physical health during childbirth beyond what
would be expected in a normal delivery
Obstetric complications 30.7 of live
births Preexisting medical conditions 4.1 of
live births
7
(No Transcript)
8
Cesarean Births by Race 2001
Percent
Total
American Indian/ Alaska Native
Asian
Native Hawaiian/ Other Pacific Islander
Hispanic
Black, Not Hispanic
White, Not Hispanic
Women giving birth for the first time
Obj. 16-9
Persons of Hispanic origin may be of any race.
Source NVSS, NCHS, CDC.
9
Maternal Deaths by Race and Ethnicity 1999 - 2001
Per 100,000 live births
Black, Not Hispanic
Total
Hispanic
White, Not Hispanic
2010 Target
Obj. 16-4
Source NVSS, NCHS, CDC.
Persons of Hispanic origin may be of any race.
10
Healthy People 2010 Focus Area 16 Objectives
Healthy Pregnancies and Healthy Infants
Fetal and infant deaths Low and very low birth
weight Preterm births Spina bifida and other
neural tube defects
11
Infant Death Rates (Within 1 Year) by Race and
Ethnicity 1998 - 2001
Per 1,000 live births
Black, Not Hispanic
Native Hawaiian/ Other Pacific Islander
American Indian/ Alaska Native
Total
2010 Target
White, Not Hispanic
Asian
Hispanic
Obj. 16-1c
Persons of Hispanic origin may be of any race.
Source NVSS, NCHS, CDC.
12
Infant Death Rates (Within 1 Year) by Race and
Ethnicity 1998 - 2001
Per 1,000 live births
International rates (2000)
--- Bosnia 15
Black, Not Hispanic
Native Hawaiian/ Other Pacific Islander
American Indian/ Alaska Native
--- Kuwait 9
Total
--- Canada 6
--- Japan 4
2010 Target
White, Not Hispanic
Asian
Hispanic
Obj. 16-1c
Persons of Hispanic origin may be of any race.
Source NVSS, NCHS, CDC.
13
All Infant Deaths (Within 1 Year) by State
1998-2000
2010 Target 4.5
D.C.
N
Per 1,000 live births
(6) (9) (15) (13) (8)
9.0 or more 8.0 - 8.9 7.0 7.9 6.0 6.9 Less
than 6.0
Obj. 16-1c
Source NVSS, NCHS, CDC.
14
Leading Causes of Infant Death (Within 1 Year)
2001
Infant deaths per 100,000 live births
Black, Not Hispanic
White, Not Hispanic
Cause of death
All races
VLBW
Total
LBW
Birth defects
137.6
1011.8
2247.8
Preterm LBW
109.5
1361.8
7105.0
293.5
2159.3
8961.4
77.5
1081.6
6157.1
SIDS
55.5
139.4
159.4
Maternal
complications
37.3
459.1
2353.6
Persons of Hispanic origin may be of any race.
Source NVSS, NCHS, CDC.
15
LBW (lt5 lbs 8 oz) and VLBW (lt3 lbs 4 oz) by Race
and Ethnicity 2001
Percent of live births
LBW 2010 Target
VLBW 2010 Target
Asian
White, Not Hispanic
Hispanic
Total
Native Hawaiian/ Other Pacific Islander
American Indian/ Alaska Native
Black, Not Hispanic
Obj. 16-10
Persons of Hispanic origin may be of any race.
Source NVSS, NCHS, CDC.
16
Healthy People 2010 Focus Area 16 Objectives
Healthy Pregnancies and Healthy Infants
17
Early Prenatal Care (First Trimester) by Race and
Ethnicity 1998 - 2001
Percent
White, Not Hispanic
Asian
Total
Native Hawaiian/Other Pacific Islander
Hispanic
Black, Not Hispanic
American Indian/Alaska Native
Obj. 16-6a
Persons of Hispanic origin may be of any race.
Source NVSS, NCHS, CDC.
18
Pregnant Women Abstaining from Smoking by Race
and Ethnicity 1998 - 2001
Percent
2010 Target
Asian
Hispanic
Black, Not Hispanic
Total
Native Hawaiian/ Other Pacific Islander
White, Not Hispanic
American Indian/Alaska Native
Obj. 16-17c
Persons of Hispanic origin may be of any race.
Source NVSS, NCHS, CDC.
19
Percent in month preceding survey
Pregnant Women Abstaining from Alcohol, by
Race/Ethnicity and Trimester 2002
2010 Target
Total
Second
Third
First
Hispanic
Not Hispanic
Trimester
Race/Ethnicity
I 95 Confidence interval. Source NSDUH, OAS,
SAMHSA.
Obj. 16-17a
Persons of Hispanic origin may be of any race.
20
Breastfeeding by Race 2002
Percent of mothers
In Hospital
At 6 Months
At 12 Months
In Hospital 2010 Target
6 Months 2010 Target
12 Months 2010 Target
White, Not Hispanic
Asian, Not Hispanic
Hispanic
Black, Not Hispanic
Obj. 16-19
Persons of Hispanic origin may be of any race.
Source Abbott Laboratories.
21
Red Blood Cell Folate Level and Neural Tube
Defects
Baseline data
Most recent data
Per 10,000
Number (ng/ml)
1991-94
1999-2000
1996
2000
Median RBC Folate Level
Spina bifida and other NTD
(in nonpregnant women 15 44 years)
(in live births fetal deaths gt20 wks. gestation)
Obj. 16-16b 16.15
Source NHANES, NCHS, CDC NBDPN, NCBDDD, CDC.
22
Sudden Infant Death Syndrome and Sleep Position
1996 - 2001
SIDS deaths
Per 100,000 live births
SIDS deaths 2010 Target
1996
1997
1998
1999
2000
2001
Obj. 16-1h
Sources NVSS, NCHS, CDC NISPS, NICHD, NIH.
23
Sudden Infant Death Syndrome and Sleep Position
1996 - 2001
SIDS deaths
Infants put to sleep on their backs
Per 100,000 live births
Percent
Sleep position 2010 Target
SIDS deaths 2010 Target
1996
1997
1998
1999
2000
2001
Obj. 16-1h 16.13
Sources NVSS, NCHS, CDC NISPS, NICHD, NIH.
24
Healthy People 2010 Focus Area 16 Objectives
Children with Special Health Care Needs
Developmental objective
25
Percent
Proportion of Children with Special Health Care
Needs by Race/Ethnicity, Age and Sex 2001
Male
Female
12 to 17
0 to 5
6 to 11
Asian
Total
Black, Not Hispanic
White, Not Hispanic
Hispanic
American Indian /Alaska Native
Sex
Age in years
Source CSHCN, MCHB, HRSA, and NCHS, CDC.
26
Per 1,000 in Atlanta, GA
Autism In Children (3 to 10 years) by Race and
Sex 1996
Male
Female
Total
Male
Female
Total
Total
White
Black
Obj. 16-14c
Source MADDSP, NCBDDD, CDC.
27
Progress review data and slides can be found on
the web at
http//www.cdc.gov/nchs/hphome.htm
28
Question and Answer SessionPlease visit
www.mchcom.com for an archive of this event and
others.

• This presentation will probably involve audience
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